Breast tissue can sometimes extend beyond the breast itself, reaching into the armpit (axilla). This extra breast tissue, also known as axillary breast tissue or tail of Spence, is perfectly normal and present in many women. However, in some cases, this tissue may require removal, either for cosmetic reasons or due to medical necessity. This article explores the reasons for axillary breast tissue removal, the procedure itself, recovery, and potential complications.
Why is Axillary Breast Tissue Removed?
There are several reasons why a doctor might recommend the removal of axillary breast tissue:
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Cosmetic Reasons: Some women may find the presence of axillary breast tissue aesthetically undesirable. It can appear as a lump or extra fullness in the armpit, leading them to seek surgical removal for a smoother, more contoured appearance. This is particularly true following breast augmentation or reduction surgery where even distribution is desired.
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Breast Cancer: If breast cancer is diagnosed and the cancer cells have spread to the axillary breast tissue, removal is medically necessary. This is often part of a larger surgical procedure to remove cancerous tissue and lymph nodes. This is a critical part of cancer treatment and is not solely for cosmetic purposes.
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Cysts or Fibroadenomas: Benign growths (cysts or fibroadenomas) can develop in axillary breast tissue. If these growths are causing pain, discomfort, or rapid growth, surgical removal may be recommended to alleviate symptoms or for biopsy to rule out malignancy.
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Breast Reconstruction: During breast reconstruction following a mastectomy, the surgeon may remove axillary breast tissue to ensure optimal aesthetic results and to prevent complications.
What is the Procedure for Removing Axillary Breast Tissue?
The procedure for removing axillary breast tissue, technically known as axillary breast resection, is typically performed under local anesthesia with sedation or general anesthesia, depending on the extent of the procedure and the patient’s preferences. The surgeon makes an incision in the armpit to access the breast tissue. The amount of tissue removed will vary depending on the reason for removal. After removal, the incision is closed with stitches.
What Happens After Surgery?
After the surgery, you will likely experience some pain, swelling, and bruising in the armpit area. Pain medication is usually prescribed to manage discomfort. A drain may be placed to remove excess fluid, and the dressings will need to be changed regularly. The recovery period can vary, but most people can return to their normal activities within a few weeks, although strenuous activity should be avoided for a longer period.
How Long Does It Take to Recover?
Recovery time depends on the extent of the surgery and the individual patient. It typically takes several weeks for the swelling and bruising to subside. The incision will heal gradually, and stitches will be removed after a few days or weeks. Full recovery might take several months before you're back to your normal routine.
What are the Potential Complications?
As with any surgical procedure, there are potential complications associated with axillary breast tissue removal. These include:
- Infection: As with any surgery, there is a risk of infection at the incision site.
- Excessive Scarring: The location of the incision in the armpit can make scarring more prominent.
- Seroma: Fluid collection under the skin.
- Numbness: Temporary or permanent numbness in the armpit area.
- Pain: Persistent pain in the armpit.
It is crucial to discuss all risks and benefits with your surgeon before proceeding with the procedure.
Can Axillary Breast Tissue Removal be Done as an Outpatient Procedure?
Yes, axillary breast tissue removal is often performed as an outpatient procedure, meaning you can go home the same day. However, this depends on the complexity of the surgery and the surgeon's judgment.
Is Axillary Breast Tissue Removal Painful?
While discomfort is expected after any surgery, the level of pain can vary from person to person. Pain medication is generally prescribed to manage any discomfort.
What are the Long-Term Effects of Axillary Breast Tissue Removal?
Long-term effects are usually minimal. The primary long-term effect may be scarring, though the visibility of the scar will depend on several factors including individual healing and the location of the incision. Rarely, there might be persistent numbness or pain.
This information is intended for educational purposes only and should not be considered medical advice. Always consult with a qualified healthcare professional to discuss your specific situation and treatment options.
